| NPI | 1891336483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse Infusion Therapy (Licence: TX 763341) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 763341) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |