| NPI | 1184241614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC003234) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024179619) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024179619) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024179619) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024179619) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-10-18 |