| NPI | 1407279847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1083054) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA10385) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-03-04 |