| NPI | 1154079960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 267970) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ RN159116) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |