| NPI | 1609553007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 209.027770) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL AG06230066) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209027770) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-04-08 |