| NPI | 1881293439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 1013714) |
| 251E00000X Home Health | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2021-01-05 |