NPI | 1306218854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP015472) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DE LP-0010490) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2023-08-25 |