| NPI | 1023518610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 945892) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 205274) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-08-28 |