| NPI | 1518619741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 902000) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 902000) |
| 291U00000X Clinical Medical Laboratory (Licence: TX 902000) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |