| NPI | 1821633017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 335688) |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist Home Health (Licence: TX 335688) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |