| NPI | 1750645966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD NP23467) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD C530735115639) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-11-25 |