| NPI | 1972053254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 128474) |
| Additional Taxonomies | 172A00000X Driver (Licence: TX 09466578) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |