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 |