| NPI | 1700519261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5025064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5025064) |
| 163WG0000X Registered Nurse, General Practice (Licence: NC 338708) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NC 338708) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 338708) | |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2026-07-28 |