| NPI | 1487893343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2009001192) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL ARNP9224424) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2017-03-27 |