| NPI | 1508270513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TX NA0891200) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: TX 37558410) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |