| NPI | 1033568373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 301014) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 293592) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |