| NPI | 1386968964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 618122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 618122) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |