| NPI | 1760193544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 76290) |
| Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NM 88504) |
| 163WW0000X Registered Nurse, Wound Care (Licence: NM 88504) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NM 88504) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-07-22 |