| NPI | 1679937833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 2006) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-07-22 |