| NPI | 1699555078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 984726) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 319317) |
| 164W00000X Licensed Practical Nurse (Licence: FL PN5209881) | |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |