| NPI | 1437448503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8893-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 176316-030) |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 176316-030) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2021-01-20 |