| NPI | 1922860154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 17069) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2016009919) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |