| NPI | 1437862000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1043780513) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |