| NPI | 1083480578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP028971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 707775) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-06-11 |