| NPI | 1962740167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 933164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 625288) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-01-15 |