| NPI | 1871598961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024164471) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: VA 0001171562) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-03-31 |