| NPI | 1932717410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10225-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WI 15701730) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-11-12 |