| NPI | 1649458928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 666466) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 666466) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |