| NPI | 1982183414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TX 922399) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 922399) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |