| NPI | 1508563552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018761) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 218717) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018761) | |
| 251F00000X Home Infusion | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018761) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018761) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5018761) | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 163WG0600X Registered Nurse, Gerontology (Licence: NC 218717) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NC 218717) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 218717) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5018761) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 5018761) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5018761) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2026-07-01 |