| NPI | 1780215954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 339232) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 372500000X Chore Provider | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |