| NPI | 1538964812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 684902) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CO 4216315) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |