| NPI | 1134901432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1108819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95343841) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-12-05 |