| NPI | 1174981260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide (Licence: DC HHA11750) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-04-15 |