| NPI | 1063990232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 978882) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 329346) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-04-03 |