| NPI | 1902370372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16690-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 232919-30) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-05-30 |