| NPI | 1013495662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 299240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845115) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2025-08-25 |