| NPI | 1548600588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 8244693) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 310569) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |