| NPI | 1154780542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 136493) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: TX 136493) |
| 374U00000X Home Health Aide (Licence: TX 136493) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-19 |