| NPI | 1578873576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8223) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 162797-30) |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2018-07-31 |