| NPI | 1912241316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 613434) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 613434) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |