| NPI | 1730631508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO T208137023) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2021-06-24 |