| NPI | 1285196279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 3464620) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 346420) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |