| NPI | 1538658612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00776304) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |