NPI | 1699275206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 937814) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 209200) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |