| NPI | 1548850035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 172V00000X Community Health Worker | |
| 3747A0650X Technician, Attendant Care Provider | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-02-08 |