| NPI | 1558540518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014253) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002434) |
| 133V00000X Dietitian, Registered (Licence: NC L002333) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 292466) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2024-02-25 |