| NPI | 1063936284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 234956) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 234956) |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2023-01-10 |