| NPI | 1629615703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH 001094) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401957970417) |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |