| NPI | 1255972253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23548) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: SC 68634) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 23548) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-11-04 |