| NPI | 1104255470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R235367) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2023-01-23 |