| NPI | 1205536752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 256826) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-07-18 |