| NPI | 1972901635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 914395) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 226659) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2017-01-28 |