| NPI | 1871882654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2012-03-09 |