| NPI | 1013213552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004484) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004484) |
| 163WW0000X Registered Nurse Wound Care (Licence: CT E52891) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2013-05-06 |