| NPI | 1366025447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1037049) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: TX 830601) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-11-29 |