| NPI | 1710162995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11019739) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL APRN11019739) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NO10496100) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-06-09 |