| NPI | 1245743046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 649224) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 649224) |
| 174H00000X Health Educator (Licence: TX 649224) | |
| 405300000X Prevention Professional (Licence: TX 649224) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |