| NPI | 1356829204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 333495) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 331397) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-06-02 |