| NPI | 1700571338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172A00000X Driver |
| 251B00000X Case Management | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-06-08 |