| NPI | 1982407664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1192789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 221827) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |