| NPI | 1881429389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024037225) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MO 2016020008) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-12 |