| NPI | 1215441035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP10885) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN124457) |
| 163WW0000X Registered Nurse, Wound Care (Licence: AZ 2131120) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-02-26 |