| NPI | 1093166605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12113) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-03-22 |