| NPI | 1962080705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: TX 778632) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 704034) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |