| NPI | 1144653502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN266075) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 219257-30) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2024-11-06 |