| NPI | 1356032338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27488) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: SC 235395) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-06-30 |