| NPI | 1427729268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021037184) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MO 2003016307) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |