| NPI | 1033610449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 230493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 230493) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |