| NPI | 1851848071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024189432) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MD R191772) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MD R191772) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP133364) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-02-19 |