| NPI | 1730495524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: TX PF0138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX TX224548) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |