| NPI | 1194526897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 14779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 143336) |
| 163WW0000X Registered Nurse, Wound Care (Licence: CT 143336) | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2026-05-21 |