| NPI | 1083365985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001258066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183744) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-05-25 |