| NPI | 1508447095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1071285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280859) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-09-28 |