| NPI | 1174906937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 10-3504) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |