| NPI | 1316447014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 321835) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: AK 220960) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-05-31 |