| NPI | 1073790358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 572628) |
| Additional Taxonomies | 174400000X Specialist |
| 225500000X Specialist/Technologist | |
| 225800000X Recreation Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |