| NPI | 1255921763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1024597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX t) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |