| NPI | 1518780220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 863528) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TX 863528) |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-02 |