| NPI | 1639679939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: TX 989198) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 328782) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-04-30 |