| NPI | 1154720456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 739851) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9380415) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |