| NPI | 1255706065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024188130) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9180833) |
| 207R00000X Internal Medicine (Licence: FL 1326039702) | |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2025-01-14 |