| NPI | 1487976692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 661106) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: TX 661106) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: TX 661106) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |