NPI | 1922057066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R115446) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL ARNP9453359) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2022-07-21 |