| NPI | 1083344113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024184435) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024184435) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024184435) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-11-22 |