| NPI | 1871120907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 679356) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 679356) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 679356) | |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 679356) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 679356) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 679356) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 679356) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: TX 679356) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |