| NPI | 1649920703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-176780) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: AL 1-176780) |
| 163W00000X Registered Nurse (Licence: AL 1-176780) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-07-11 |