| NPI | 1922799741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 201868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 129592) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |