| NPI | 1912607474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 73004) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-04-04 |