| NPI | 1649751132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 984279) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 984279) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 984279) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 984279) | |
| 163WC0400X Registered Nurse, Case Management (Licence: TX 984279) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 336496) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-05-31 |