| NPI | 1053892505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1214355) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 321076) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2025-11-19 |