| NPI | 1104159052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 661972) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 661972) |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 661972) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |