| NPI | 1861261273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 1789-0223) |
| Additional Taxonomies | 171400000X |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist (Licence: TX 1789-0223) | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-05-15 |