| NPI | 1245715028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 239672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162238) |
| 163WW0000X Registered Nurse, Wound Care (Licence: AZ 2005464703) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ F09180043) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-01-03 |