| NPI | 1215624960 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 374U00000X Home Health Aide | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-04-21 | 
| Last Update Date | 2023-04-21 |