| NPI | 1255949921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 214569) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: LA RN119419) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-08-08 |