| NPI | 1154072825 | 
|---|---|
| Former Name | REBECCA HOERMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 9271448)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 9271448)  | 
| Enumeration Date | 2022-01-14 | 
| Last Update Date | 2025-03-15 |