| NPI | 1376316570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 836963) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TX 836963) |
| 163WG0000X Registered Nurse General Practice (Licence: TX 836963) | |
| 163WH0200X Registered Nurse Home Health (Licence: TX 836963) | |
| 163WW0000X Registered Nurse Wound Care (Licence: TX 836963) | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |