| NPI | 1295254969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10736) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 127818) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2021-03-18 |