| NPI | 1104297308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2025-10-23 |