| NPI | 1275355943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024191135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001328040) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024191135) | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-12-17 |