| NPI | 1427618156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029759) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN9428581) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9428581) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: FL RN9428581) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-08-21 |