| NPI | 1477135861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1081544) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 376K00000X Nurse's Aide (Licence: TX NA0060034250) | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2022-10-17 |