| NPI | 1053142513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD HHA200003976) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2025-05-23 |