NPI | 1205058278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 595613) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 595613) |
163WH0200X Registered Nurse, Home Health (Licence: TX 595613) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2025-09-11 |