| NPI | 1770369282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 1134374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 698492) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 698492) | |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 698492) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |