| NPI | 1073228912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024187503) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024187503) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0024187503) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-08-28 |