| NPI | 1992103378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 853422) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: 163WA2000X) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2021-11-24 |