| NPI | 1437772472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9634929) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 353632) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-08-05 |