| 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 |