| NPI | 1679058341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 185241) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 0042316) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |