| NPI | 1295207694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1016290) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60452766) |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2024-10-03 |