| NPI | 1326640665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024179827) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024179827) |
| 163W00000X Registered Nurse (Licence: VA 0001210530) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024179827) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2021-03-16 |