| NPI | 1609189851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 335479) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 28633-1) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-10-16 |