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 |