| NPI | 1568421634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 0143622-030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 12217-33) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2022-11-17 |