| NPI | 1891417093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 340697) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-07-22 |