| NPI | 1881279693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 215031) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AR R104095) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-05-04 |