| NPI | 1154549210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 977497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-103382) |
| 163W00000X Registered Nurse (Licence: CA RN95239440) | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-04-13 |