| NPI | 1740921436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: UT 85462384405) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: UT 8546238-3102) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-05 |