| NPI | 1508511098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024183239) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024183239) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024183239) | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-22 |