NPI | 1578060745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: TX 808979) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 808979) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2023-08-04 |