| NPI | 1043056377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1104798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95343697) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |