| NPI | 1225547268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 053949-23) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NH 053949-21) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-04-06 |