| NPI | 1215646286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024179529) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024179529) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024179529) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024179529) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-02-24 |