| NPI | 1114461324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 858938) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-07 |