| NPI | 1326335829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R133694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R133694) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R133694) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-02-26 |