| NPI | 1174325104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R246461) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MD R246461) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: MD R246461) | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |