| NPI | 1003397423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 301218) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 301318) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |