| NPI | 1861089518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH TK798136) |
| Additional Taxonomies | 372500000X Chore Provider |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |