| NPI | 1679211767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019325) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL 14228) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: FL 210278917S) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |