| NPI | 1063897742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 783287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-79470) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |