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 |