| NPI | 1225546021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 239349) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704262656) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2025-09-11 |