| NPI | 1194702548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: CA NP144260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 14426) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-11-18 |