| NPI | 1255856811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024175212) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0024175212) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-08-11 |