| NPI | 1619477205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 214687) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 214687) |
| 251J00000X Nursing Care (Licence: TX 214687) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |