| NPI | 1215692090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 880989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 880089) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |