| NPI | 1386571529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP036061) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA RN589572) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA RN589572) | |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-08-12 |