| NPI | 1831716869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX GPRN246627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1001650) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-30 |