| NPI | 1033757471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 629799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704385466) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2026-03-06 |