| NPI | 1710345855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA D3620585) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2021-04-20 |