| NPI | 1255992533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 220584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1620282) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-07-18 |