| NPI | 1447723853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 1047076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 098073) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-03-01 |