| NPI | 1528309325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2980432) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL APRN2980432) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2023-06-26 |