| NPI | 1780024943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CT 19793616) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CT NA198508) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-01-27 |