| NPI | 1134486483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 769439) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 769439) |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 769439) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: TX 769439) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |