| NPI | 1760471510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ RN098246) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN098246) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-03-07 |