| NPI | 1336568963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 01153) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TX 8115845) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-18 |