| NPI | 1750634648 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 3421362) | 
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL APRN3421362) | 
| Enumeration Date | 2012-10-17 | 
| Last Update Date | 2024-12-27 |