| NPI | 1760789564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide | |
| 251E00000X Home Health (Licence: TX 013968) | |
| 305S00000X Point of Service (Licence: TX 013968) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-08-19 |