| NPI | 1063964757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 685554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 685554) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |