| NPI | 1629345814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 340101050940269) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2023-05-01 |