| NPI | 1710611967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN270526) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN270526) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-07-31 |