| NPI | 1457607194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: TX 699088) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 699088) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |