| NPI | 1821158650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 005398) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 005398) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-04-02 |