| NPI | 1205198397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R201213) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-09-28 |