| NPI | 1891863734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 726734) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 191668) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |