| NPI | 1396291639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131279) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 697716) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-03-21 |