| NPI | 1801418686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: KY 3014758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014758) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2025-12-09 |