| NPI | 1942843396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024178055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0024178055) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-04-13 |