| NPI | 1306548011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 830041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 830051) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |