| NPI | 1578297313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP023351) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11017838) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA PMH04250056) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-06-04 |