| NPI | 1790907830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 434862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 434862) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: TX 434862) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-08-16 |