| NPI | 1376812073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP20887) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: CA 617447) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2022-10-11 |