| NPI | 1104408814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X |
| Additional Taxonomies | 172A00000X Driver |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |