| NPI | 1700667920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R127059) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MD R127059) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-01-10 |