| NPI | 1982833687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 833589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 151018) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2013-07-19 |