| NPI | 1245993393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056676) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 734260) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |