| NPI | 1588124788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 347983) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 27209) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-27 |