| NPI | 1316704539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2024001813) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ ABWM) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |