| NPI | 1750084521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 51958) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WY 41511) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-12-07 |