| NPI | 1255844494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 303950) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5220652) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2020-02-17 |