| NPI | 1750167037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 796868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E61039) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |