| NPI | 1740373810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ME 2970652) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL ARNP2970652) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-03-31 |