| NPI | 1306382635 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP118312)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 639678)  | 
| 405300000X Prevention Professional (Licence: TX AP118312)  | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX Rx. Auth: 9650)  | |
| Enumeration Date | 2017-01-10 | 
| Last Update Date | 2017-01-10 |