| NPI | 1679874424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 1137586) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TX 1137586) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |