| NPI | 1457749798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000869) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: DE L1-0017278) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2021-01-21 |