| NPI | 1043601040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7644) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ RN163032) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: AZ RN163032) | |
| 163WC2100X Registered Nurse, Continence Care (Licence: AZ RN163032) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-05-13 |