| NPI | 1619963469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: FL ARNP2804142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL FL2804142) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2013-07-08 |