| NPI | 1487396750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 33168) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TN 0000256293) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-01-14 |