| NPI | 1548730294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MO 2004019186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO AG09180198) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-11-10 |