| NPI | 1770069221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 845021) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 845021) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 845021) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |