| NPI | 1720618770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 902340) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 902340) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2021-01-28 |