| NPI | 1477017887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse School (Licence: TX 757453) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 757453) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |