| NPI | 1154092427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 56999) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: ID 56999) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2023-07-05 |