| NPI | 1093560161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP029607) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA SP029607) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-05-23 |