| NPI | 1972916088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 174H00000X Health Educator |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |