| NPI | 1811643125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP146082) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: TX 583836) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: TX 583836) | |
| 163WA2000X Registered Nurse Administrator (Licence: TX AP146082) | |
| 163WH0200X Registered Nurse Home Health (Licence: TX 583836) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: TX 583836) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |