| NPI | 1619622818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MA CHW01291) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2023-11-07 |