| NPI | 1518448323 |
|---|---|
| Former Name | MARY ESTHER VIDALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 932193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 932193) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |