| NPI | 1871181073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 956429) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-05-07 |