| NPI | 1356863401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175052) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175052) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175052) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175052) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |