| NPI | 1598969701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: IA A108954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 108954) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-05-03 |