| NPI | 1780414128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9656970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 990124) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |