| NPI | 1093956765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 010765) |
| 3747P1801X Technician, Personal Care Attendant (Licence: TX 010765) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2025-11-26 |