| NPI | 1164837555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 526317) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 526317) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: TX 526317) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-04-27 |