| NPI | 1891289146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 839843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN140223) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |