| NPI | 1366658775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 564253) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 564253) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 564253) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 564253) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 564253) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |