| NPI | 1376802983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R202589) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: MD R202589) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-12-05 |