| NPI | 1316436496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 945168) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 306101) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-07-12 |