| NPI | 1982235198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 205984) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: AK 192304) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2022-05-11 |