| NPI | 1366607483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202210649NP-PP) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 342516) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2022-07-28 |