| NPI | 1164238630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 18236830) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 17450-33) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-09-23 |