| NPI | 1013494814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1011805) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 210990) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2021-10-19 |