| NPI | 1336962208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 13932994-3102) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: UT 13932994-3101) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-01-16 |