NPI | 1073717252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 150978) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: TX l9626) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2008-09-25 |