| NPI | 1255936167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TX 10074153) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: TX 14560) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-06-16 |