| NPI | 1720625205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN291797) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA RN291797) |
| 363L00000X Nurse Practitioner (Licence: GA RN291797) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145419) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN291797) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145419) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2025-02-19 |