| NPI | 1801676812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00212880) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-10-05 | 
| Last Update Date | 2024-06-06 |