| NPI | 1073271391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 021560) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-09-18 |