| NPI | 1740068402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: VA 0024188079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024188079) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024188079) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024188079) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-07-23 |