| NPI | 1063098804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906994) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MS 903378) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-10-14 |