| NPI | 1275270241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: GA CN0014199145) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0014199145) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |