| NPI | 1104278035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9533) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 225863-0) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2020-10-06 |