| NPI | 1336699800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024174222) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: VA 0001137010) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174222) | |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2022-07-21 |