| NPI | 1972927432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 794803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r187765) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |