| NPI | 1295219814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1106093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10022034) |
| 163W00000X Registered Nurse (Licence: CT 217398) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 329259) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-06-13 |