| NPI | 1720227168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 215716) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX B1784504) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |