NPI | 1851177364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1166901) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 836470) |
Enumeration Date | 2023-08-31 |
Last Update Date | 2025-10-02 |