| NPI | 1992360796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 917808) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 2020013151) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-09-08 |