| NPI | 1851948996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11003794) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11003794) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 11003794) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-07-31 |