| NPI | 1942607239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001743) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001743) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95001743) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-01-23 |