| NPI | 1215557046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: DE L1-0051458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012054) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP026971) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-04-16 |