| NPI | 1235639881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: TX 836902) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 203069) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |