| NPI | 1265089247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 319463) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX tx) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |