| NPI | 1700132818 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 731868) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 731868) | 
| Enumeration Date | 2012-07-25 | 
| Last Update Date | 2012-07-25 |