| NPI | 1245108240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 608508) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 608508) |
| 163W00000X Registered Nurse (Licence: TX 608508) | |
| 163WA2000X Registered Nurse, Administrator (Licence: TX 608508) | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-31 |