NPI | 1629612254 |
---|---|
Professional Name | SAPHIRE DAWN CHRISTINE LARSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 19-155-PDHAI) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |