NPI | 1265999486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031270) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 755038) |
Enumeration Date | 2019-02-24 |
Last Update Date | 2025-05-15 |