| NPI | 1891223848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201705500NP-PP) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OR 200240253) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |