| NPI | 1124235775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CO 00F267) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: NC 027608) |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: TX SA00147) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |