| NPI | 1609353911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 980906) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 321255) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-12-31 |