| NPI | 1659896066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11907) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 235430) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-08-10 |