| NPI | 1427472422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201501105NP-PP) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 673506-1) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2017-09-26 |