| NPI | 1669230694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 374700000X Technician | |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-10-21 |