| NPI | 1356943237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9367160) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2021-06-28 |