| NPI | 1407357999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 69742) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 069742) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |