| NPI | 1821492851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 79294) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NM RN-73898) |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 207Q00000X Family Medicine (Licence: NM 79294) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 163W00000X Registered Nurse (Licence: NM RN-73898) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-10-08 |