| NPI | 1760787592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: TX 189329) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: TX 189329) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |