| NPI | 1811485931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 708061) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 708061) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |