| NPI | 1639906928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 16372) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TX NA0060053444) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |