| NPI | 1760899496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH CHW.000462) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-05-17 |