| 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 |