| NPI | 1154725299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX AP127371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 700436) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-09-21 |