NPI | 1629437439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15245-33) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 196327) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2024-04-17 |