| NPI | 1083782361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 191752) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2023-01-06 |