| 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 |