| NPI | 1154970796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1051648) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 349695) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-08-12 |