| NPI | 1619581873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 212693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 212693) |
| 163WW0000X Registered Nurse, Wound Care (Licence: AR 212693) | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-11-24 |