| NPI | 1447006671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1056848) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 723277) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |