NPI | 1780484527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024192851) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024192851) |
363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024192851) | |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-04-04 |