| NPI | 1063551851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX AP122658) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 549060) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-07-29 |