| NPI | 1144613555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 140041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 835997) |
| 164W00000X Licensed Practical Nurse (Licence: LA 20100219) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |