| NPI | 1548636392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F05240188) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-11-12 |