| NPI | 1730961483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1133447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201904598RN) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |