| NPI | 1962110122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD A00201197) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-07-03 |