| NPI | 1386065696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL AL10104) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2014-01-05 |