| NPI | 1437659380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 774565) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 774565) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |