| NPI | 1003798034 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 948741) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 948741) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: TX 948741) | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |