| NPI | 1508153438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120783) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 664217) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX AP120783) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-11-09 |