| NPI | 1326608563 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX AP103113) | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 224621) | 
| Enumeration Date | 2019-06-19 | 
| Last Update Date | 2019-06-19 |