| NPI | 1972133189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 766847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 766847) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |