| NPI | 1700768132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1019090) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX 1019090) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 1019090) | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |