| NPI | 1164289922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001206694) |
| 363L00000X Nurse Practitioner (Licence: VA 0024186223) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024186223) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186223) | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |