| NPI | 1770083289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 604238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 604263) |
| 163WW0000X Registered Nurse, Wound Care (Licence: TX 604263) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |