| NPI | 1407231822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL CNA-180718) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL CNA-180718) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |