| NPI | 1578151452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: AZ RN200321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 251944) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-01-21 |