| NPI | 1710488010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 70534) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX 1003992) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2021-04-21 |