| NPI | 1881166569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1034996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95181717) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-09-22 |