| NPI | 1164918959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9416857) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL 9416857) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-04-13 |