| NPI | 1972074060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 906920) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 906920) |
| 163WC0400X Registered Nurse, Case Management (Licence: TX 906920) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 906920) | |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 906920) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |