| NPI | 1891840567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 639368) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: TX 010309) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |