| NPI | 1205236627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 979178) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002084153) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-05-25 |