| NPI | 1316794167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15247-33) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 200923-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15247-33) | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-11-04 |