| NPI | 1942853395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95237759) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-10-20 |