| NPI | 1043978653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TX 983937) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 983937) |
| 163WP0200X Registered Nurse Pediatrics (Licence: TX 983937) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |