| NPI | 1225626278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030294) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 887647) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-02-19 |