| NPI | 1932626249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 79503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60773516) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |