| NPI | 1780247932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011683) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NC 195197) |
| 363L00000X Nurse Practitioner (Licence: NC 5011683) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-09-09 |