| NPI | 1528931763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1122476) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 1122476) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: TX 1122476) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 1122476) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 1122476) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 1122476) | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |