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 |