| NPI | 1316196660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 693498696) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 230649) |
| 376K00000X Nurse's Aide (Licence: FL cna18424) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |