| NPI | 1013526029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: TX 987218) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX 987218) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |