| NPI | 1093061103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 243251) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: TX 243251) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |