| NPI | 1043841588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 352180) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TX 352180) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-21 |