| NPI | 1023346004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT 178764) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MT NUR-APRN-LIC-178764) |
| 163WW0000X Registered Nurse, Wound Care (Licence: MT RN25056) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2022-02-18 |