| NPI | 1205688421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 6925143-4405) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: UT 6925143-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 6925143-4405) | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |