| NPI | 1649946963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide (Licence: DC HHA15697) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-02-06 |