| NPI | 1891451936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024190101) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021040583) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: VA 0024190101) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 36565) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2025-08-05 |