| NPI | 1760968069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 988296) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 324527) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-03-27 |