| NPI | 1295439693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-08-21 |