| NPI | 1558503300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 174803) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 187679) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |