| NPI | 1558975508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R158868) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R158868) |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |