| NPI | 1114637105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 928876) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 928876) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |