| NPI | 1437606696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10573) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 223640) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2021-11-19 |