| NPI | 1043639602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 632541) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 632541) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |