| NPI | 1801439542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL APRB11004601) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 11004601) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-11-06 |