| NPI | 1861068355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC 7877602) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-19 |