| NPI | 1710165352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP2761022) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: FL ARNP2761022) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-11-03 |