| NPI | 1144594557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145263) |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care (Licence: WV 77720) |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: WV 77720) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: WV 77720) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: WV 77720) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2021-04-02 |