| NPI | 1720564198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 869121) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 869121) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |