| NPI | 1497389654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182956) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: VA 0001291281) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-07-15 |