| NPI | 1568671220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002412A) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: IN 28155359A) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-05-14 |