| NPI | 1134543820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R863579) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TN 20147) |
| 163WW0000X Registered Nurse, Wound Care (Licence: MS R863579) | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2017-05-10 |