| NPI | 1730455114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 22-1684-III) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: AK 12-084-DHAT) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-03-27 |