| NPI | 1861904757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX RN.903464) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX E2059637) |
| 164W00000X Licensed Practical Nurse (Licence: TX PN.0330843) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2019-05-20 |