| NPI | 1699414136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024184471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024184471) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-10-10 |