| NPI | 1659790756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 308029) |
| 174H00000X Health Educator | |
| 261Q00000X Clinic/Center | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-03-30 |