| NPI | 1942966320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 174H00000X Health Educator |
| 251E00000X Home Health | |
| 251J00000X Nursing Care (Licence: TX 800552) | |
| 251K00000X Public Health or Welfare | |
| 261Q00000X Clinic/Center (Licence: TX 800552) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-04-30 |