| NPI | 1962034652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC na0000023881) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: DC NA0000023881) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-01-28 |