NPI | 1164103172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: UT 262153-3102) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 262153-3102) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-07-31 |