| NPI | 1609355734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 921328) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 921328) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-10 |