| NPI | 1366768277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP118936) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX AP118936) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP118936) | |
| 163W00000X Registered Nurse (Licence: TX 711274) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2025-03-08 |