| NPI | 1003455122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024177680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177680) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024177680) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024177680) | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2021-12-09 |