| NPI | 1952704694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 460187) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: TX 460187) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |