| 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 |