| NPI | 1134557747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 791863) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TX 791863) |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: TX 791863) | |
| 163WX0106X Registered Nurse Occupational Health (Licence: TX 791863) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |