| NPI | 1215300561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL APRN9264221) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9264221) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9264221) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9264221) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2026-01-09 |