| NPI | 1316601578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174200000X Meals | |
| 246Q00000X Spec/Tech, Pathology | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |