| NPI | 1053121012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1189681) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 868736) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-02-23 |