| NPI | 1619462140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9352719) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL 9352719) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2026-01-29 |