| NPI | 1669926283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016371) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2026-04-13 |