| NPI | 1588355309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 10102259-3102) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: UT 10102259-3102) |
| 163WS0200X Registered Nurse School (Licence: UT 10102259-3102) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |