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 |