| NPI | 1013224930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 462906) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: TX 462906) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |