| NPI | 1851986822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5380044062) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: KS W11140) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-07-30 |