| NPI | 1740697846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 988991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2500834) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 281266) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-02-19 |