| NPI | 1942393269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 172A00000X Driver (Licence: TX 23748302) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 715872) | 
| 374U00000X Home Health Aide (Licence: TX 715872) | |
| Enumeration Date | 2006-09-30 | 
| Last Update Date | 2025-09-11 |