| NPI | 1659524841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: TX NA00842666) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TX NA00842666) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2009-08-06 |