| NPI | 1245991819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP024905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP024905) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |