| NPI | 1962755728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| 202K00000X (Licence: TX 17-3128230) | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-07-10 |