| NPI | 1053115295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 692780) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: TX 692780) |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-06 |