| NPI | 1366107542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL RN3646134) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL PN5213347) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2025-02-25 |