| NPI | 1740940287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024183287) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001249886) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001249886) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024183287) | |
| Enumeration Date | 2021-12-25 |
| Last Update Date | 2021-12-25 |