| NPI | 1881155109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177312) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024177312) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177312) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-01-14 |