| NPI | 1649043514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 919773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201505702RN) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |