| NPI | 1407166598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 229118) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5148443) |
| 164W00000X Licensed Practical Nurse (Licence: GA 77271) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |