| NPI | 1073914685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R186200) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: DC RN1016618) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-06-06 |