| NPI | 1598109902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006192) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NC 119106) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006192) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2017-07-13 |