| NPI | 1730608795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 256195) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |