| NPI | 1497315741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 319578) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 319578) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |