| NPI | 1902519457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MN 8589503) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MN 135946700020) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-02-21 |