| NPI | 1972189280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005259) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9525238) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-03-04 |