| NPI | 1457042129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: UT 8350208-3102) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 8350208-2402) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |