| NPI | 1861283087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022744) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NC 345682) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-08-25 |