| NPI | 1336652338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AK 188761) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: AK 108775) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-04-10 |