| NPI | 1306232780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL 9313985) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 604719) |
| 163WA2000X Registered Nurse, Administrator (Licence: AL 1-1497171) | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-04-12 |