| NPI | 1811405822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6681-33) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 139140-30) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: WI 139140-030) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-03-30 |