| NPI | 1811010325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 719999) | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 719999) | 
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: TX 719999) | |
| Enumeration Date | 2007-04-09 | 
| Last Update Date | 2025-09-11 |