| NPI | 1790521557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM G-1380) |
| Additional Taxonomies | 174H00000X Health Educator |
| 251B00000X Case Management | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |