| NPI | 1497037683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 508626) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: TX 508626) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |