| NPI | 1124643614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN296735) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN296735) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 213745) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-05-21 |