| NPI | 1548631195 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: TX AP129105) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129105) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP129105) | |
| Enumeration Date | 2015-10-08 | 
| Last Update Date | 2025-07-11 |