| NPI | 1942096383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1082835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 754337-01) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |