| NPI | 1699312090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 227239) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 154757) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-05-05 |