| NPI | 1902268527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: MA 174H00000X) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: WA B.S. Community Healt) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |