| NPI | 1114752953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020926) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: SC 262147) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-25 |