| NPI | 1063804896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 842694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 076762) |
| 163W00000X Registered Nurse (Licence: ZZ 975935067) | |
| 163W00000X Registered Nurse (Licence: ZZ 8775) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: ZZ 7330) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |