| NPI | 1760952360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV F09180993) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NV 815069) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-08-09 |