| NPI | 1801299201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: TX 740612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 740612) |
| 163WC0400X Registered Nurse Case Management (Licence: TX 740612) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: TX 740612) | |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: TX 740612) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |