| NPI | 1740404862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 584935) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX AP107026) |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX AP107026) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-22 |