| NPI | 1366933608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 8502-33) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: WI 178648-30) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-12-16 |