| NPI | 1255682688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 6914-33) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: WI 114484) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2016-05-17 |