| NPI | 1619564507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-12-25 |
| Last Update Date | 2023-11-21 |