| NPI | 1477897791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 809587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9188647) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |