| NPI | 1437761137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 197274) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 157599) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 157599) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-02-23 |