| NPI | 1275275455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 958818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95270534) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |