| NPI | 1821233552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: TX 579631) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 579631) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 579631) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |