| NPI | 1962905158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13434) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2023-03-13 |