| NPI | 1114463650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 443462) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 314011) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |