| NPI | 1528623618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024177560) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024177560) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177560) | |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2021-07-26 |