| NPI | 1326891219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150542) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AL 1-150542) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-05-02 |