| NPI | 1619212891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 5700063) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 5700063) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 5700063) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |