| NPI | 1528330032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 14083) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: TX 14083) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |