| NPI | 1962820258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX BP10050150) |
| 208600000X Surgery (Licence: TX BP10050150) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10050150) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-01-22 |