| NPI | 1316448483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 952456) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 335710) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-05-21 |