| NPI | 1780828236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 224671) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |