| NPI | 1194568683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024193790) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001289844) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-06-18 |