| NPI | 1083260160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143073) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 678633) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143073) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2026-05-01 |