| NPI | 1780324574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11865-33) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 175911-30) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-31 |