| NPI | 1083490486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA AG08230180) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VA AG08230180) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA AG08230180) | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |