| NPI | 1699518050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
| 172A00000X Driver | |
| 174200000X Meals | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |