| NPI | 1902499577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024180380) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180380) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024180380) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: VA 0024180380) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024180380) | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-04-01 |