| NPI | 1306617972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: IL 041.306967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025123) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |