| NPI | 1548072200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1180383) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: TX 718894) |
| 163WC0400X Registered Nurse Case Management (Licence: TX 718894) | |
| 163WC1500X Registered Nurse Community Health (Licence: TX 718894) | |
| 163WH0200X Registered Nurse Home Health (Licence: TX 718894) | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |