| NPI | 1437023421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1213387) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 30003690) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |