| NPI | 1780462820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 934055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 691482) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |