| NPI | 1861195174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 644911) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 644911) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-29 |