| NPI | 1043793847 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 799124) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 799124) | 
| 163WH0200X Registered Nurse, Home Health (Licence: TX 799124) | |
| Enumeration Date | 2018-09-08 | 
| Last Update Date | 2018-09-08 |