| NPI | 1710545108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 864167) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TX 864167) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-08-10 |