| NPI | 1467279091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033902) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9593350) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |