| NPI | 1043558893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: GA 172V0000X) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |