| NPI | 1417404526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1072194) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: TX 727640) |
| 163WW0000X Registered Nurse, Wound Care (Licence: TX 727640) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-07-08 |