| NPI | 1346761053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 113989) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NE 75882) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |