| NPI | 1316345390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: LA 119361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 119361) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 675301) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |