| NPI | 1851833164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: LA RN093404) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: LA RN093404) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |