| NPI | 1336568427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 97284) |
| Additional Taxonomies | 251E00000X Home Health (Licence: SC 97284) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-08-30 |