| NPI | 1710447776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024180227) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180227) |
| 163W00000X Registered Nurse (Licence: VA 0001282967) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2021-03-19 |