| NPI | 1538718028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-17 |