Individual
EBOTE ETAPE
Active
Individual
EBOTE ETAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0011968
DE
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/06/2012
Last updated
08/27/2025
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