| NPI | 1801563630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 00024182147) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: VA 00024182147) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 00024182147) | |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2022-11-11 |