| NPI | 1598417545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 715101) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 715101) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |