| NPI | 1972664340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1517) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WI 125006-030) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-11-10 |