| NPI | 1932967445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1012526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328747) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |