| NPI | 1356098578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP027914) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-08-10 |