| NPI | 1457759185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TX NA10082522) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: IA 37814) |
| 376K00000X Nurse's Aide (Licence: IA 355674014) | |
| 172A00000X Driver (Licence: TX 35453989) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-12 |