| NPI | 1063062800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1014667) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-11-17 |