| NPI | 1902546054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX M4304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1073036) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-10-20 |