| NPI | 1992510408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032454) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 95032454) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |