| NPI | 1699258426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 816094) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 300814) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-01-11 |