| NPI | 1487292108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 562304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 562304) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |