| NPI | 1265596753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4268) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ rn109971) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2013-07-16 |