| NPI | 1326436494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024172108) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172108) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024172108) | |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2024-11-14 |