| NPI | 1619851953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 891144) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 891144) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |