| NPI | 1821893819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 5303014271) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MI 5303014271) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-03-04 |