| NPI | 1942523956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL cna 20085) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL cna20085) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |