| NPI | 1407195118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: HI 17415) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 307173) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |