| NPI | 1568024008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R197432) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R197432) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD R197432) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R197432) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-01-18 |