| NPI | 1265034631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 946745) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 946745) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 323284) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |