| NPI | 1972283521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 86295623) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86295623) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-08-24 |