| NPI | 1831574177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172803) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172803) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172803) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024172803) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-01-16 |