| NPI | 1306570858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 69239) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NM RN-79111) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-08-24 |