| NPI | 1669746772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 975583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 975583) |
| 163WC0400X Registered Nurse Case Management (Licence: TX 975583) | |
| 163WH0200X Registered Nurse Home Health (Licence: TX 975583) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX 975583) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2022-11-02 |