| NPI | 1710629019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-05-22 |