| NPI | 1083253546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 209.020323) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.020323) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.020323) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-04-01 |