| NPI | 1851177364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1166901) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX 836470) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-02-06 |