| NPI | 1679262794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 602314270221) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-05-15 |