| NPI | 1699220491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10011900APRN-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 474458) |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 474458) | |
| 363L00000X Nurse Practitioner (Licence: CA 95005914) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-11-22 |