| NPI | 1972903441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 729857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 729857) |
| 163WA2000X Registered Nurse, Administrator (Licence: TX 729857) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 729857) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 729857) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |