| NPI | 1164306700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA CPT-00072950) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CA CPT-00072950) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |