| NPI | 1417614553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 824602) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 824602) |
| 163WC1500X Registered Nurse, Community Health (Licence: TX 824602) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 824602) | |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: TX 824602) | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |