| NPI | 1629662937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-12-02 |