| NPI | 1194306076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1147879) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 351097) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-01-23 |