| NPI | 1548760556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177486) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177486) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN234607) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-04-09 |