| NPI | 1609514132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020201) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL RN9190054) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-10-30 |