| NPI | 1972265221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024181421) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0024181421) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-01-20 |