| NPI | 1982170072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374700000X Technician |
| 251K00000X Public Health or Welfare | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-01-18 |