| NPI | 1548687676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9365577) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN 9365577) |
| 163WH0200X Registered Nurse, Home Health (Licence: IN 28210108A) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-01-22 |