| NPI | 1316555311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 203689) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: NC 203689) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-27 |