| NPI | 1053972919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-06-25 |