| NPI | 1124622022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 301840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9638955) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2026-05-17 |