| NPI | 1174360192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 714074) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 714074) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |