| NPI | 1871261479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 871460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177278-30) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |