| NPI | 1760791073 |
|---|---|
| Other Name | DBA MEDPSYCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 011330) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: TX 011330) |
| 376K00000X Nurse's Aide | |
| 3747P1801X Technician, Personal Care Attendant | |
| 163WW0000X Registered Nurse, Wound Care (Licence: TX 011330) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2014-10-27 |