| NPI | 1851537575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 197893) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 1795006) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |