| NPI | 1164055372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178793) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001234004) |
| 163WH1000X Registered Nurse, Hospice (Licence: VA 0001234004) | |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-05-30 |