| NPI | 1083275374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 27648) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 682984) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-07-06 |