| NPI | 1104308188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX AP138431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 783978) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-12-06 |