| NPI | 1730695743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 209783) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-09-14 |