| NPI | 1437637758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54134) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NM RN-72666) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 54134) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-04-25 |