| NPI | 1356828354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 741324) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 741324) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |