| NPI | 1245591205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0053975) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-12-11 |