| 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 |