| NPI | 1669246625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029720) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9461603) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-12-28 |