| NPI | 1609266287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 323720) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 262681) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |