| NPI | 1578925590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 198531) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 027111) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-06-29 |