| NPI | 1245790492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 949920) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 671272) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |