| NPI | 1073232716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13043794-4405) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: UT 10325782-3102) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-01-25 |