| NPI | 1639066590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 897043) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: TX 897043) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |