| NPI | 1023253259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 815113) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 206799) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-01-05 |