| NPI | 1861258600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 787430) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 787430) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 787430) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |