| NPI | 1982148714 |
|---|---|
| Former Name | EMMA DOLORES MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2024-08-24 |