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 |