| NPI | 1659764439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R198731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1025498) |
| 251E00000X Home Health (Licence: DC LPN1005565) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-06-25 |