| NPI | 1851196323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM G-1583) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 311235) |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |