| NPI | 1437613429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021017026) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KS 13-84010-021) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2021-07-27 |