| NPI | 1265131668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1015003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA N261402956) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |