| NPI | 1629891163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |