| NPI | 1366228769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 919130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 190357) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |