| NPI | 1326271305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20132414) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 222716) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2015-02-05 |