| NPI | 1407658404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 720574) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 349587) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |