| NPI | 1861964652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 337622) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5195601) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |