| NPI | 1205614906 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 772810) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 772810) | 
| Enumeration Date | 2023-09-15 | 
| Last Update Date | 2023-09-15 |