| NPI | 1558419242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00193) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 631753) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 631753) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-06-15 |