| NPI | 1023686953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: TX 38798337) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 251E00000X Home Health | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |