| NPI | 1649543422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 521996) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: TX 521996) |
| 251J00000X Nursing Care (Licence: TX 521996) | |
| 302R00000X Health Maintenance Organization (Licence: TX 521996) | |
| 305S00000X Point of Service (Licence: TX 521996) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |