| NPI | 1295217610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 974723) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 342356) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2020-06-17 |