| NPI | 1700266251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-159356) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: TX 689880) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP128800) | |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2021-11-09 |