| NPI | 1811693575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 229497) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: LA RN159083) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-16 |