| NPI | 1386337475 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SPO27751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187202) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-07-18 |