| NPI | 1770956336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 014890700) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2021-04-01 |