| NPI | 1154962173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 28223) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 23223) |
| 208M00000X Hospitalist (Licence: SC 28223) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-04-26 |