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 |