| 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 |