| NPI | 1477054666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist, Home Health (Licence: TX 318430) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 318430) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |