| NPI | 1861185738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28199) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: SC 249707) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2024-02-06 |