| NPI | 1699367698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 802161) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 802161) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |