| NPI | 1992700272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP01864) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: LA AP01864) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA AP01864) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2024-12-18 |