| NPI | 1811565120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 644695) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-07-01 |