| NPI | 1164106902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TX NA0060055777) |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: TX na0060055777) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |