| NPI | 1932575743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024178999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC RN1038780) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024178999) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024178999) | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2024-03-06 |