| NPI | 1811010325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 719999) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 719999) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: TX 719999) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |