| NPI | 1861638496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 197322) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX B1689865) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |