| NPI | 1679017651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174238) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0024174238) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 0024174238) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |