| NPI | 1386092245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 921167) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 78281-0) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2021-01-22 |