| NPI | 1699162198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R196063) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 57060) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R196063) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-03-12 |