| NPI | 1780987719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 373703-4405) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 373703-4405) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2019-12-04 |