| NPI | 1417312133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024173200) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024173200) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173200) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024173200) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2025-05-13 |