| NPI | 1548867526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024180298) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024180298) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-06-28 |