| NPI | 1184256760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178844) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024178844) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |