| NPI | 1720942048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 174H00000X Health Educator |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |