| NPI | 1255108791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 727282) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 349374) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-10-03 |