| NPI | 1790455061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H164106) |
| Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: IA 2005460267) |
| 163WW0000X Registered Nurse, Wound Care (Licence: IA 2005460267) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: IA H164106) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: IA H164106) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H164106) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H164106) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H164106) | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2022-08-26 |