NPI | 1275220295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95282132) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 916781) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 916781) | |
363L00000X Nurse Practitioner (Licence: CA 95033818) | |
Enumeration Date | 2023-04-19 |
Last Update Date | 2025-03-02 |