| NPI | 1295213486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 209334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 209334) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |