| NPI | 1174983662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX1100X Registered Nurse, Ophthalmic (Licence: TX AP129628) |
| Additional Taxonomies | 163WX1100X Registered Nurse, Ophthalmic (Licence: TX 766127) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |