| NPI | 1215646286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179529) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0024179529) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 0024179529) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-09-28 |