| NPI | 1386271716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179080) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NC 230064) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-27 |