| NPI | 1326669284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 778717) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: TX 019904) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2022-01-20 |