| NPI | 1639958986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R32766) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: ND r32766) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-12-05 |